To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Insurance Verification Specialist
Walgreens
11.2022 - Current
Conducted thorough benefit verifications for patients by liaising with insurance providers and analyzing insurance policies to determine coverage details, including medication and treatment options.
Collaborated closely with healthcare providers and insurance companies to obtain prior authorizations for prescribed medications, streamlining the approval process and minimizing delays in patient care.
Assisted in the resolution of medication-related claims issues, including denials and rejections, by working with insurers and internal teams to ensure patients received the necessary medications in a timely manner.
Acted as an advocate for patients, ensuring they were informed about their insurance coverage, co-pays, and out-of-pocket expenses.
Remote
Customer Care Representative
Amazon
11.2020 - 11.2022
Respond to a high volume of inbound customer questions, concerns, and requests through multiple communication channels, including chat, email, and phone.
Address customer inquiries about Amazon products, services, shipping, returns, and account-related issues.
Assist customers with general questions regarding their Amazon accounts, orders, payment methods, and shipping options.
Troubleshoot and resolve a variety of customer issues, including billing discrepancies, incorrect orders, and missing or damaged products. Handle a high volume of interactions in a fast-paced environment while maintaining quality service.
Remote
Medical Claims Specialist
Everise
09.2018 - 11.2020
Verified patient eligibility for medical claims and determined benefit coverage. Submitted and tracked medical claims to insurance companies via electronic or paper methods.
Adhered to HIPAA regulations while managing confidential patient information. Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
Addressing customer inquiries, complaints, and feedback in a professional and courteous manner. Assisting customers with understanding their Explanation of Benefits (EOB) statements.
Verifying claims information and ensuring completeness and accuracy. Coordinating with healthcare providers and insurance companies to resolve claims issue.